A5063 Drainage ostomy pouch with flange
Also known as: drainable pouch, ileostomy pouch, drainable colostomy bag
A drainable (open-bottom) ostomy pouch with integral flange attachment for two-piece system coupling with separate skin barrier.
In Plain Language
pouch that clicks into adhesive wafer; drainable pouch with connector
Clinical Context
Part of two-piece ostomy system. Flange allows pouch to be changed multiple times daily while maintaining skin barrier. Economical long-term.
RVU Information
CPT A5063 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
HCPCS A-codes cover medical supplies, equipment, and transport services. Documentation must establish medical necessity and include a physician order. For durable medical equipment (DME), a Certificate of Medical Necessity (CMN) or detailed written order may be required.
Specialties
Frequently Asked Questions
What is CPT code A5063?
CPT A5063 (Drainage ostomy pouch with flange) is a A Codes code. A drainable (open-bottom) ostomy pouch with integral flange attachment for two-piece system coupling with separate skin barrier.
Does Medicare cover A5063?
Medicare coverage for A5063 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Part of two-piece ostomy system. Flange allows pouch to be changed multiple times daily while maintaining skin barrier. Economical long-term. A physician order is typically required.
When is CPT A5063 used?
Part of two-piece ostomy system. Flange allows pouch to be changed multiple times daily while maintaining skin barrier. Economical long-term.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.